So worehyia wo nsa a ɛyɛ wo yaw na ɛyɛ wo yaw? So eyi betumi ayɛ Arterial Thoracic Outlet Syndrome?

So woate nka pɛn sɛ wo ho ayɛ wo yaw anaasɛ ɛyaw bi a ɛyɛ nwonwa wɔ wo nsa mu, anaasɛ awɔw bi wɔ wo nsa mu? Anaasɛ woahyɛ no nsow sɛ wo nsa kɔla sesa anaasɛ egye bere tenten ansa na ayɛ yiye bere a woatwitwa no? Mfa no sɛ eyinom yɛ nneɛma a ɛfata kɛkɛ. Eyi betumi ayɛ aduruyɛ tebea bi a wɔfrɛ no `(Arterial Thoracic Outlet Syndrome)` ho sɛnkyerɛnne. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka nnɛ ara kwa.

Dɛn ne eyi `(Arterial Thoracic Outlet Syndrome)`? Momma yɛnte ase tiawa koraa, ɛnte saa?

Sɛ yɛbɛka no tiawa a, `(Arterial Thoracic Outlet Syndrome)` ne bere a yɛn mogya ntini atitiriw (arteries) no mu biako hyɛ yɛn kɔn ne yɛn kɔn mu dompe ntam (yɛfrɛ eyi `(Clavicle)`), kyerɛ sɛ, wɔ beae a wɔfrɛ no `(Thoracic Outlet)`. Wunim, ntini ne akwan a ɛde mogya fi yɛn koma mu kɔ nipadua no nyinaa mu. Enti, wɔ obi a ɔwɔ saa `(ATOS)` tebea yi mu no, ntini bi nya nhyɛso wɔ beae yi a wɔfrɛ no `(Thoracic Outlet).`

Fa no sɛ nsu paipu a asiw, na ɛma nsu a ɛsen no so tew. Sɛ ntini bi siw saa a, ebetumi asiw mogya no kwan. Sɛ wɔansa no yiye a, ebetumi de akwahosan ho haw a emu yɛ den aba. Wɔ nnipa binom mu no, saa kwan a esiw yi betumi ama ntini no fasu ayɛ mmerɛw na ayɛ kɛse te sɛ afiri a wɔde tu mmirika. Yɛfrɛ no ``Aneurysm''. Enti, sɛ wowɔ saa nsɛnkyerɛnne yi a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woakɔhwɛ.

Hena na ɛda adi sɛ obenya ``Arterial Thoracic Outlet Syndrome''?

Te sɛ Thoracic Outlet Syndrome ahorow nyinaa no, ɛtaa ba mmea a wɔadi fi mfe 20 kosi 50. Mpɛn pii no, saa ntini mu nhyɛso yi ba esiane sɛ mpampam foforo (a wɔfrɛ no awotwaa mu mparow) wɔ kɔn no mu, anaasɛ esiane sɛ mpampam bi wɔ baabi a ɛnteɛ nti. Mpɛn pii no, saa mparow a ɛboro so yi wɔ yɛn mpampam a edi kan no atifi.

Nsɛnnennen bɛn na eyi betumi de aba? Dɛn nti na eyi yɛ nea asiane wom?

Nokwarem no, `(Arterial Thoracic Outlet Syndrome)` ne `(Thoracic Outlet Syndrome)` a ɛyɛ hu sen biara . Sɛ wɔansa no yiye a, saa `(ATOS)` yi betumi ama mogya a ɛyɛ hu ayɛ wo ntini mu. Saa mogya a ɛtwetwe yi betumi asiw mogya a ɛkɔ wo nsa ne wo nsa mu no kwan. Ɛwom sɛ ɛntaa nsi koraa de, nanso saa mogya a ɛtɔ yi nso tumi tu kwan kɔ amemene no mu na ɛde tebea horow te sɛ `(Stroke)` ba.

Enti, sɛ wususuw sɛ wowɔ Thoracic Outlet Syndrome ho sɛnkyerɛnne ahorow a, ɛho hia sɛ wohwehwɛ ayaresa ntɛm ara sɛnea wubetumi.

`(Arterial Thoracic Outlet Syndrome)` abu so dɛn?

Sɛ yɛbɛka nokware a, Thoracic Outlet Syndrome ahorow nyinaa ho yɛ na koraa. Data biara nni hɔ a ɛkyerɛ nnipa dodow pɔtee a wɔwɔ bi. Nanso, nea wɔfrɛ no Arterial TOS no ne nea ɛntaa nsi koraa. Wohu saa ɔkwan yi wɔ ayarefo a ennu ɔha biara mu biako a wɔwɔ Thoracic Outlet Syndrome mu.

Dɛn ne nneɛma a ɛde ``Arterial Thoracic Outlet Syndrome'' ba?

Wɔwo nnipa pii a wɔwɔ ATOS, sɛnea yɛadi kan aka no, a wɔn mpampam foforo (Cervical Rib) wɔ wɔn kɔn mu dompe (Clavicle) atifi. Ntini a ɛda yɛn nsa ne yɛn kɔn mu dompe ntam a wɔfrɛ no Subclavian Artery no de mogya kɔ yɛn nsa, yɛn nsa, yɛn kɔn, ne yɛn ti so. Esiane saa Cervical Rib a ɛboro so no nti, Subclavian Artery yi betumi ayɛ den, na asiw mogya a ɛbɛkɔ no kwan, na mogya a ɛbɛtɔ no betumi ayɛ. Ɛtɔ mmere bi a, mogya a ɛtwetwe yi betumi abubu na akɔ abasa no mu, na asiw mogya a ɛbɛkɔ no kwan.

Nneɛma afoforo nso betumi aka eyi:

• Kɛse mmoroso: Bere a nipadua mu duru kɔ soro no, wɔde nhyɛso foforo ba nkwaa no so.
• Nipadua mu Apirakuru: Opira te sɛ nea kar akwanhyia de ba.
• Gyinabea a Ɛnyɛ Yie: Nneɛma te sɛ sɛ wobɛtra baabi koro bere tenten, wobɛkotow akɔ w’anim bere a woreyɛ adwuma, ne nea ɛkeka ho.
• Nyinsɛn (`(Nyinsɛn)`).
• Nneɛma a Wɔyɛ no Mpɛn pii: Sɛ nhwɛso no, wosow tennis racket, tow softball anaa baseball, anaa nnaka a emu yɛ duru a wobɛma so wɔ wo ti so.

Dɛn ne `(Arterial Thoracic Outlet Syndrome)` ho sɛnkyerɛnne? Ɔkwan bɛn so na wohu sɛ ɛwɔ hɔ?

Mpɛn pii no, tebea yi ho sɛnkyerɛnne betumi aka wo nsateaa, wo nsateaa, anaa wo nsa nyinaa. Nsɛnkyerɛnne a ɛtaa ba ne nsa biako a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw. Saa sɛnkyerɛnne ahorow yi betumi asɛe kɛse bere a wode wo nsa yɛ biribi no na ebetumi atu mpɔn bere a wode wo nsa home no. Mpɛn pii no, nnipa a wɔwɔ ATOS no nte ɛyaw wɔ wɔn kɔn anaa wɔn mmati mu.

Esiane sɛ ATOS betumi atew wo mogya so nti, ebia wubehu nneɛma a ɛte sɛɛ wɔ wo nsateaa, wo nsa, anaa wo nsateaa mu:

• Awɔw a ɛyɛ nwini.
• Ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw.
• Ɛyaw (`(Ɛyaw)`).
• Kɔla a Ɛyɛ Pale a Ɛsakra.
• Akuru a ɛsa nkakrankakra.

Fa no sɛ, Nilanthi Akka yɛ adwuma wɔ kɔmputa so fi anɔpa kosi anadwo. Wafi ase rete ɛyaw bi a ɛyɛ nwonwa wɔ ne nsa nifa mu a ne ho yɛ no yaw kakra. Ɛtɔ mmere bi a, ne nsa te nka sɛ awɔw wom. Ná osusuw sɛ efi ɔbrɛ. Nanso sɛ saa nsɛnkyerɛnne yi rekɔ soro nkakrankakra a, ebetumi ayɛ `(ATOS)`.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi (Arterial Thoracic Outlet Syndrome)?

Sɛ wowɔ ``Arterial Thoracic Outlet Syndrome'' ho sɛnkyerɛnne a, wo duruyɛfoɔ bɛdi kan ahwɛ wo kɔn ne wo mmati mu. Wɔbɛka akyerɛ wo sɛ yɛ kankyee bi de hwɛ ``Range of Motion'' a ɛwɔ wo nkwaa no mu.

Oduruyɛfo no nso bɛsusuw wo mogya mmoroso na wabisa wo wo yare no ho sɛnkyerɛnne. Sɛ wosusuw sɛ ATOS wɔ hɔ a, ebia wɔbɛyɛ nhwehwɛmu foforo bi de ahwɛ wo Thoracic Outlet no.

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Eyi ne tebea a ɛwɔ ``Arterial Thoracic Outlet`` no mu pɛpɛɛpɛSi gyinae wɔ `(Imaging Tests)`, a ɛyɛ sɔhwɛ ahorow a ɛhwɛ wo nipadua mu. Wobetumi ayɛ nhwehwɛmu ahorow yi de ahwɛ wo ntini ahorow, mogya a ɛkɔ wo mu, ne wo mu nneɛma:

• Ultrasound scan: Eyi de nnyigyei asorɔkye di dwuma de hwɛ nipadua no mu, titiriw de hwɛ sɛnea mogya no sen. Mpɛn pii no, eyi ne sɔhwɛ a edi kan a wɔde hu tebea yi.
• Arteriogram: Wɔde afiri ketewaa bi a ɛyɛ tratraa (catheter) ne nsu titiriw bi (contrast dye) hyɛ wo ntini mu, na wɔyɛ X-ray.
• CT scan: Wɔde X-ray ahorow a ɛtoatoa so bom yɛ mfonini a ɛkɔ akyiri.
• MRI scan (`(MRI)`): Ɛde radio asorɔkye ne magnetic field di dwuma de twa mfonini a ɛkɔ akyiri.
• X-ray (`(X-ray)`): Wɔde mframa a ano yɛ den dodow na ɛtwa mfonini.

Dɛn ne ayaresa a wɔde sa `(Arterial Thoracic Outlet Syndrome)`?

Ɛda adi kɛse sɛ wɔde oprehyɛn na ɛsa tebea yi a wɔfrɛ no Arterial Thoracic Outlet Syndrome. Nanso, ansa na wobɛyɛ oprehyɛn no, wo duruyɛfo betumi akyerɛw wo nnuru a ɛma mogya yɛ mmerɛw te sɛ Warfarin (Coumadin®) anaa Heparin (Hep-LockTM). Ebia wɔbɛbɔ mmɔden nso sɛ wɔbɛfa injection anaa akwan foforo so ayi ntini biara a ɛwɔ hɔ dedaw no afi hɔ.

Bere a wɔreyɛ oprehyɛn no, oduruyɛfo no betumi ayɛ nneɛma te sɛ:

• Woyi wo mpampam a ɛboro so (`(Cervical Rib)`) no fã bi, na ɛma nhyɛso no so tew.
• Wɔde ntini a ɛte apɔw a woyi fi wo nipadua no fã foforo (Arterial Graft) si ntini a asɛe no ananmu.
• Wɔde afiri bi a wɔde nsa ayɛ hyɛ mu de si ntini a asɛe no ananmu, na ɛma mogya no san kɔ.

Dɛn na yebetumi ayɛ de atew saa `(ATOS)` asiane yi so?

Ɔkwan biara nni hɔ a wobɛfa so asiw eyi ano koraa, nanso wubetumi ayɛ asetra mu nsakrae ahorow bi de atew asiane a ɛwɔ hɔ sɛ akwanhyia a kar akwanhyia de ba no so atew:

• Kura mu duru a ɛfata a ɛfata wo nipadua su, mfe a woadi, ne wo bɔbeasu.
• Kwati sɛ wode bag a emu yɛ duru bɛto wo mmati biako so.
• Tow sɛnea wobɛtaa akɔ soro wɔ soro no ano hye.
• Hyɛ wo mmati den denam apɔw-mu-teɛteɛ a wobɛma wo mu duru so anaasɛ woayɛ apɔw-mu-teɛteɛ a wode gyina ano no so.
• Yɛ wo kɔn, wo mmati, ne wo moma so ntrɛwmu da biara.

Dɛn ne adwene a ɛwɔ `(ATOS)` tebea no ho? So ɛsɛ sɛ yesuro?

Nokwarem no, sɛ wɔansa Arterial Thoracic Outlet Syndrome (ATOS) no yare a, ebetumi de nsɛnnennen a emu yɛ den te sɛ mogya a ɛtɔ, akwaa a ɛbɛpira, ne (wɔ tebea horow a emu yɛ den mu) nsateaa a ɛyera aba. Nanso, asɛmpa no ne sɛ, dodow a wohwehwɛ ayaresa ntɛm no, dodow no ara na hokwan a wowɔ sɛ wubedi nkonim no yɛ kɛse. Enti, sɛ wowɔ sɛnkyerɛnne bi a ɛkyerɛ sɛ ebia wowɔ ATOS a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn bio na wopɛ sɛ wuhu fi oduruyɛfo no hɔ?

Sɛ wo ne oduruyɛfo no hyia a, wubetumi abisa nsɛm te sɛ:

• Dɛn na ɛda adi sɛ ɛde me yare no ho sɛnkyerɛnne ahorow ba?
• Sɔhwɛ ahorow bɛn na ɛsɛ sɛ meyɛ na ama mahu nea eyi yɛ ankasa?
• Ayaresa ahorow bɛn na ɛwɔ hɔ?
• So ayaresa a ɛnyɛ oprehyɛn bɛsa me yare no ho sɛnkyerɛnne no?
• Nsakrae bɛn na metumi ayɛ wɔ m’asetra kwan mu na ama yare no ho sɛnkyerɛnne so atew?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Arterial Thoracic Outlet Syndrome (ATOS) yɛ tebea a ɛka subclavian artery a ɛwɔ thoracic outlet no mu. Eyi ne bere a ntini no mu yɛ den na mogya tu fi ase yɛ no. Saa ntini a ɛma mogya tu yi betumi abubu na akɔ fam wɔ abasa no mu, na ɛde ɛyaw ne akisikuru aba. Sɛ wɔsa yare ntɛm a, ebetumi atew asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen no so. Sɛ wowɔ ATOS ho sɛnkyerɛnne a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn ntɛm ara. Mma ɛnhaw wo, wobetumi adi tebea yi ho dwuma denam aduruyɛ mu afotu ne ayaresa a ɛfata so.

` thoracic outlet syndrome, arterial thoracic outlet syndrome, ATOS, nsa mu yaw, nsa a ɛyɛ mmerɛw, mogya a ɛtɔ, awotwaa mu mpampam, subclavian artery